| Diabetes Care Center, Inc | |
|
14100 Fivay Rd Ste 250 Hudson FL 34667-7151 | |
| (727) 869-7822 | |
| (727) 862-0934 |
| Full Name | Diabetes Care Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14100 Fivay Rd, Hudson, Florida |
| Authorized Official Name and Position | Lusiana Loman (PRESIDENT) |
| Authorized Official Contact | 7278697822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Care Center, Inc 14100 Fivay Rd Ste 250 Hudson FL 34667-7151 Ph: (727) 869-7822 | Diabetes Care Center, Inc 14100 Fivay Rd Ste 250 Hudson FL 34667-7151 Ph: (727) 869-7822 |
| NPI Number | 1265436018 |
|---|---|
| Provider Enumeration Date | 06/09/2005 |
| Last Update Date | 09/19/2007 |
| Medicare PECOS PAC ID | 2466478250 |
|---|---|
| Medicare Enrollment ID | O20051020000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265436018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME0044520 (Florida) | Primary |
| Provider Name | Sheila M Aquino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962482315 PECOS PAC ID: 2365403409 Enrollment ID: I20041022000294 |
| Provider Name | Antonio Pinero- Pilona |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720082068 PECOS PAC ID: 0547281123 Enrollment ID: I20051210000015 |
| Provider Name | Jesus L Penabad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285637553 PECOS PAC ID: 7719903509 Enrollment ID: I20051210000023 |
| Provider Name | Lusiana Loman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972506244 PECOS PAC ID: 0446271027 Enrollment ID: I20051210000025 |
| Provider Name | Ania E Janicka |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538353305 PECOS PAC ID: 9931284965 Enrollment ID: I20080314000133 |
| Provider Name | Anna Szafran-swietlik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780815340 PECOS PAC ID: 7810033008 Enrollment ID: I20130730000495 |
| Provider Name | Monica Plazarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073812384 PECOS PAC ID: 1254574676 Enrollment ID: I20161101000699 |
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